Systemic lupus erythematosus x ray
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
X Ray
Shrinking lung (radiograph): unexplained dyspnoea. restrictive pattern onpulmonary function tests.
Chest x-ray often shows small but clear lungs with diaphragmatic elevation. Occasional basal atelectasis may be present.
Pleural fibrosis: Pleural thickening
Pulmonary infarct
- wedge-shaped (less often rounded) juxtapleural opacification (Hampton hump) without air bronchograms
- more often in the lower lobes
Pulmonary hypertension
- elevated cardiac apex due to right ventricular hypertrophy
- enlarged right atrium
- prominent pulmonary outflow tract
- enlarged pulmonary arteries
- pruning of peripheral pulmonary vessels